| NPI | 1467808667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSUE GABRIEL Managing Member 464-627-1335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology Clinical Neurophysiology |
| Additional Taxonomies | 204R00000X Electrodiagnostic Medicine |
| 2084N0400X Psychiatry & Neurology Neurology | |
| 246ZE0600X Specialist/Technologist, Other Electroneurodiagnostic | |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2016-11-14 |